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USGROUND TANK OFFICIAL INSPECTION R*T <br />SAN JOAQUIN PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />445 N. San Joaquin Street <br />Mailing Address: P.O. Box 388 <br />COUNTY NAME Stockton, CA 95201-0388 <br />COUNTY <br />CUAA 468-3420 <br />SITE NAME: AINSPECTION DATE: 7C10 7-" <br />SITE ADDRESS: CITY/STATE/ZIP <br />CHANGES SITE/OWNER/PERMIT? YES NO <br />TANK <br />TANK <br />TANK <br />TANK <br />FORM A AND/OR B SUBMITTED? <br />COMPUTER <br />NUMBER <br />COMPUTER <br />NUMBER <br />COMPUTER <br />NUMBER <br />COMPUTER <br />NUMBER <br />TYPE OF INSPECTION <br />SITE COMPUTER # <br />MPE <br />51 <br />PER # <br />EXP. DATE <br />PER # <br />EXP. DATE <br />PER # <br />EXP. DATE <br />PER # <br />EXP. DATE <br />0 0 RTANK <br />PER'A+1014AL TANK <br />PERMIT TO OPERATE <br />CONTENTS <br />MAJOR MINOR <br />IMPROPER ABANDONMENT <br />55 <br />56 <br />vggm�-T <br />1 2 <br />CHANGE IN CONDITIONS TO OPERATE <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />FOLLOWS: RAM <br />'YSTEM STATUS (MUST MARK ONE) <br />57 58 <br />3 4 <br />APPROVED CONSTRUCTION <br />MAJOR MINOR <br />L-1 <br />5 6 <br />WRITTEN MONITORING PROCEDURES <br />7 8 <br />APPROVED MONITORING SYSTEM <br />1 <br />9 110 <br />MONITORING SYSTEM <br />11 12 <br />APPROVED MONITOR FREQUENCY <br />13 14 <br />MONITORING RECORDS MAINTAINED <br />15 16 <br />ACCESS CASING SECURED <br />17 18 <br />PIPING <br />19 20 <br />INVENTORY RECONCILIATION <br />21 22 <br />TANK GAUGING <br />23 24 <br />APPROVED RESPONSE PLAN <br />25 26 <br />UNAUTHORIZED RELEASE OCCURRENCE <br />27 28 <br />SAMPLING <br />29 30 <br />APPROVED TANK REPAIRS <br />31 32 <br />UNAUTHORIZED RELEASES REPORTED <br />33 34 <br />SAFETY HAZARD <br />35 36 <br />CONDITIONS ABATED <br />37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />REMOVAL OF RESIDUAL MATERIALS <br />FLAMMABLE VAPORS REMOVED <br />47 <br />ACCESS LOCATIONS SEALED <br />48 <br />49 <br />POWER DISCONNECTED <br />FLAMMABLE VAPORS REMOVED <br />50 <br />OWNER/OPERATOR MONITORING <br />UNAUTHORIZED RELEASE <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS <br />46 <br />47 <br />PIPING <br />48 <br />49 <br />FLAMMABLE VAPORS REMOVED <br />50 <br />UNAUTHORIZED RELEASE <br />51 <br />52 <br />SAMPLING <br />53 <br />54 <br />IMPROPER ABANDONMENT <br />55 <br />56 <br />THE MARKED ITEMS REPRESENT VIOLATIONS AND MUST BE CORRECTED AS <br />FOLLOWS: RAM <br />'YSTEM STATUS (MUST MARK ONE) <br />57 58 <br />MAJOR MINOR <br />L-1 <br />VIOL. VIOL. VIOL. <br />OFFICE: I N S[P:? <br />RECEIVED BY: <br />,0 <br />TITLE,E r. PHONE:BECK: <br />HUT -3 White -Original Yellow - Owner's Copy Pink - File Copv <br />